Provider Demographics
NPI:1366253064
Name:BEEHAVIOR ABA THERAPY
Entity type:Organization
Organization Name:BEEHAVIOR ABA THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AUDREY
Authorized Official - Middle Name:STEPHANIE
Authorized Official - Last Name:SUAREZ AVILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-340-5830
Mailing Address - Street 1:2000 N BAYSHORE DR APT 519
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-5120
Mailing Address - Country:US
Mailing Address - Phone:786-340-5830
Mailing Address - Fax:
Practice Address - Street 1:2000 N BAYSHORE DR APT 519
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-5120
Practice Address - Country:US
Practice Address - Phone:786-340-5830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health